CREATIVE CHILD AND FAMILY SERVICES, INC.
NPI 1720645328
Family Medicine - Addiction Medicine in Eastvale, CA

Active since May 20, 2019
7049 OHIO RIVER DR, EASTVALE, CA 91752(310) 946-2398(951) 479-5169 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • Addiction Medicine

About CREATIVE CHILD AND FAMILY SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Creative Child And Family Services, Inc., a provider established in Eastvale, California operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1720645328 assigned on May 2019. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Barbara Timmons (Ceo)

NPI
1720645328 Verify this NPI
Provider Name
CREATIVE CHILD AND FAMILY SERVICES, INC.
Entity Type
Organization
Location Address
7049 OHIO RIVER DR EASTVALE, CA 91752
Location Phone
(310) 946-2398
Location Fax
(951) 479-5169
Mailing Address
1655 E. 6TH STREET A-4 #102 CORONA, CA 92879
Mailing Phone
(909) 548-2959
Mailing Fax
(951) 479-5169
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-20-2019
Last Update Date
05-20-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BARBARA TIMMONS

Authorized Official Title
CEO
Authorized Official Phone
(310) 946-2398

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720645328, enumerated as an "organization" on May 20, 2019.

The provider is located at 7049 OHIO RIVER DR EASTVALE, CA 91752 and the phone number is (310) 946-2398.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.